Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 139324 | NY |
NPI | 1013956267 |
---|---|
Provider Name | Daniel B Rubin |
First Address | Garden City, NY 11530-2133 |
Second Address | Rochdale, NY 11434-4517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 06/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C04783 | (02) | NY |